GOP leaders hope to vote this week, but they still need to work through key issues across both chambers on Medicaid, clean energy and state and local tax deductions.

Senate Republicans are considering adding a provision to President Trump’s tax cut bill that would further cut Medicaid, alarming hospitals and potentially squeezing state budgets even further. The provision would sharply reduce the amount of money the federal government pays into a state’s total Medicaid costs for new beneficiaries in states that expanded their programs under the Affordable Care Act,

A plan to sell more than 2 million acres of federal lands has been ruled out of Republicans’ big tax and spending cut bill after the Senate parliamentarian determined the proposal by Senate Energy Chairman Mike Lee would violate the chamber’s rules.

A plan to sell more than 3,200 square miles of federal lands has been ruled out of Republicans’ big tax and spending cut bill after the Senate parliamentarian determined the proposal by Senate Energy